NPI 1003099516

Counseling Associates of Port Orange, INC.

Organisation Mental Health Counselor Port Orange, FL

Practice location

Address: 3959 S Nova Rd Suite 5, Port Orange, FL 32127-9278
Phone: (386) 761-2390
Fax: (386) 761-3256

Authorised official

Name: Patti K Hall
Title: Secretary/Treasurer
Phone: (386) 761-2390

Registered specialties (2)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence SW3855 (FL)

Other Counselor providers in Florida →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence SW3855 (FL)

Other Community/Behavioral Health providers in Florida →

Registry record

NPI: 1003099516
Entity type: Organization
NPI issued: 7 Dec 2007
Record last updated: 7 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.